OrganizationActive
Walmart Inc
NPI 1790614188 · Optician · Tucson, AZ
Walmart Inc is a Optician organization in Tucson, AZ (NPI 1790614188).
Provider details
- NPI number
- 1790614188
- Entity type
- Organization
- Primary specialty
- OpticianEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Kimberly Canonic, Senior Director(480) 853-0515
Specialties & taxonomies
Eye and Vision Services Providers
- Eyewear Supplier332H00000X
Suppliers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
455 E Wetmore Rd
Tucson, AZ 85705-1743
Phone: (520) 416-7442
Fax: (520) 416-7441
Street-level locationGet directions
Mailing address
1 Customer Dr
Bentonville, AR 72716-0445
Other names (DBA / former)
- Doing business as
- Walmart Vision Center 30-1325
Registry dates
- Enumerated
- 2026-05-14
- Last updated
- 2026-05-19
- Certified
- 2026-05-19
Frequently asked questions
- What is Walmart Inc's NPI number?
- Walmart Inc's National Provider Identifier (NPI) is 1790614188, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Walmart Inc?
- Walmart Inc is classified in the NPPES registry as Optician (Eye and Vision Services Providers).
- Where is Walmart Inc located?
- Walmart Inc's practice location on file with NPPES is 455 E Wetmore Rd, Tucson, AZ 85705-1743.
- What is Walmart Inc's phone number?
- The practice phone number listed in the NPPES registry for Walmart Inc is (520) 416-7442.
- Who is the authorized official for Walmart Inc?
- The authorized official listed on Walmart Inc's NPPES record is Kimberly Canonic, Senior Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Walmart Inc's NPI active?
- Yes — Walmart Inc's NPI (1790614188) is active in the NPPES registry as of the last update on 2026-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.